Evidence map›Paper›PMID 30793543›Full record

ArticleMaternal & child nutrition2019

Translating the International Code of Marketing of Breast-milk Substitutes into national measures in nine countries.

Isabelle Michaud-Létourneau, Marion Gayard, David Louis Pelletier

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Isabelle Michaud-LétourneauDepartment of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montreal, Quebec, Canada.ORCID 0000-0003-2969-2779
Marion GayardDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, Longueuil, Quebec, Canada.
David Louis PelletierDivision of Nutritional Sciences, Cornell University, Ithaca, New York, USA.ORCID 0000-0003-0134-6460

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The International Code of Marketing of Breast-milk Substitutes (the Code) adopted by the World Health Assembly (WHA) in 1981 and regularly updated through subsequent WHA resolutions, represents the international policy framework for protecting breastfeeding against inappropriate marketing practices. By March 2016, at least 135 countries had some measures covering provisions of the Code in their legislation. The translation of the International Code into national measures was investigated in the context of the advocacy efforts undertaken by the Alive & Thrive (A&T) initiative with UNICEF and partners. A real-time evaluation was carried out over 22 months in seven Southeast Asian countries (Cambodia, Indonesia, Lao People's Democratic Republic [Lao PDR], Myanmar, Thailand, Vietnam, and Timor-Leste) and two African countries (Burkina Faso and Ethiopia). Drivers of policy change and progress were examined. Two theory-based approaches were used: developmental evaluation and contribution analysis. Data collection methods included participant observation, key informant meetings, in-depth interviews, reflective practice, and desk review. Overall, countries made significant progress in translating the International Code into national measures and in moving forward throughout the policy cycle. The main driver of policy change was the creation of a strategic group, which engaged key relevant actors and supported the government in the performance of 15 critical tasks, which the analysis reveals is a second driver. Those critical tasks are described in this paper and could help public health advocates to anticipate the stages and challenges of policy change and develop more effective strategies to translate the Code into their legal framework.

Indexed as

International CooperationMilk, HumanMilk SubstitutesNutrition PolicyAfricaAsia, SoutheasternDeveloping CountriesFemaleHumansInfantInfant Nutritional Physiological PhenomenaMarketingPolicy MakingadvocacyAfricabreastfeeding protectionInternational Code of Marketing of Breast-milk Substitutespolicy processSoutheast Asia

Identifiers

PMID30793543
PMCPMC6519018

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.